Ultrasound-Guided Lumbar Plexus Block

  • Tatsuo NakamotoEmail author


The lumbar plexus (LP), generally consisting of L1–L4 roots, is divided to each terminal branch through the psoas major muscle. LPB is essentially defined as a “three-in-one block” because it offers complete block of femoral, lateral femoral cutaneous, and obturator nerves by injection into the compartment covered by the psoas fascia. Originally, lumbar plexus block has been performed using landmark technique with nerve stimulation. Nowadays, excellent ultrasound image would help to perform the ultrasound guided lumbar plexus block.


Lumbar plexus Ultrasound-guided method Lumbar plexus block 


  1. 1.
    Kirchmair L, Entner T, Wissel J, Moriggl B, Kapral S, Mitterschiffthaler G. A study of the paravertebral anatomy for ultrasound-guided posterior lumbar plexus block. Anesth Analg. 2001;93(2):477–81.PubMedGoogle Scholar
  2. 2.
    Lin JA, Lu HT, Chen TL. Ultrasound standard for lumbar plexus block. Br J Anaesth. 2014;113:188–9.CrossRefGoogle Scholar
  3. 3.
    Karmakar M, Ho A, Li X, Kwok W, Tsang K, Kee W. Ultrasound-guided lumbar plexus block through the acoustic window of the lumbar ultrasound trident. Br J Anaesth. 2008;100(4):533–7.CrossRefGoogle Scholar
  4. 4.
    Karmakar MK, Li JW, Kwok WH, Hadzic A. Ultrasound-guided lumbar plexus block using a transverse scan through the lumbar intertransverse space: a prospective case series. Reg Anesth Pain Med. 2015;40(1):75–81.CrossRefGoogle Scholar
  5. 5.
    Capdevila X, Macaire P, Dadure C, Choquet O, Biboulet P, Ryckwaert Y, et al. Continuous psoas compartment block for postoperative analgesia after total hip arthroplasty: new landmarks, technical guidelines, and clinical evaluation. Anesth Analg. 2002;94(6):1606–13.CrossRefGoogle Scholar

Copyright information

© Springer Japan KK, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of AnesthesiologyKansai Medical UniversityOsakaJapan

Personalised recommendations